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KMID : 1202320140070010021
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Brain & NeuroRehabilitation
2014 Volume.7 No. 1 p.21 ~ p.29
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Optimal Strategies of Upper Limb Motor Rehabilitation after Stroke
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Shin Myung-Jun
Kim Sang-Hun
Lee Chang-Hyung
Shin Yong-Il
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Abstract
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The purpose of this review is to provide a comprehensive approach for optimal strategies of upperlimb motor rehabilitation after stroke. Stroke is a common, serious, and disabling global health-careproblem. Optimal organization of rehabilitation for stroke patients has been extensively documented.However, between 30% and 66% of individuals with stroke do not obtain satisfactory motor recoveryof the affected upper limb with rehabilitative interventions. The recovery of the affected upper extremitydepends on intensity, task progression, and repetition to neural plasticity, namely, the ability of centralnervous system cells to modify their structure and function in response to external stimuli. Recently,constraint-induced movement therapy, motor imagery, action observation, or mirror therapy has emergedas interesting options as add-on interventions to standard physical therapies. In this review, we willdiscuss to establish a framework by which several promising interventions for neural plasticity.
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KEYWORD
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neuroplasticity, rehabilitation, stroke, upper extremity
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